CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Baptist Medical Center - Nassau

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $494
  • Cash Discount Price: $821
  • vs. Medicare Baseline: 3.15x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Baptist Medical Center - Nassau is $494. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $821. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.15x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$821

Average discount available for prompt cash payment at this facility.

Insurance Median
$494

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $821 (523%)
Insurance Median: $494 (315%)
Cash: $821 (523% of Medicare)
Ins. Median: $494 (315% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 315% of the Medicare baseline (a markup of 215%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Amerigroup Of Georgia $29 18%
Daniel Memorial $29 18%
Humana $29 18%
Nassaua County Sheriff'S Office $29 18%
Simply Healthcare Plans $31 - $35 20%
Simply Healthcare Plans - Cha $31 20%
Amerihealth Caritas $32 20%
Florida Community Care $32 - $218 20%
Sunshine State Health Plan $32 20%
United Community Plan $32 20%
Vivida Health $32 20%
Aetna $35 - $1,059 22%
Molina Healthcare Of Florida $35 22%
Corvel $123 - $1,298 78%
Coventry Workers Comp $123 - $1,298 78%
Community Hospice Of Northeast Florida $208 133%
Pace $208 133%
Tomorrow'S Rainbow $208 133%
Va Ccn $208 133%
UnitedHealthcare $210 - $650 134%
Devoted $220 140%
Upmc $229 146%
Blue Cross Blue Shield $384 - $861 245%
Avmed $424 - $993 270%
Ambetter / Centene $499 318%
Borland Groover $530 338%
Occunet $530 338%
Northeast Florida State Hospital $556 354%
Centivo $583 - $1,125 371%
Capital Health Plan $609 388%
Geo Group $662 422%
Watchtower $728 464%
Fscj Student Insurance $794 506%
Savannah Grand Of Amelia Island $794 506%
Cigna $821 - $1,012 523%
Suddath Company $834 531%
Medicaid / KanCare $861 548%
Peach State Health Plan $861 548%
Phcs $993 633%
Evolutions Healthcare $1,192 759%
Multiplan $1,192 759%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals